Multiple Sclerosis Risk factors include virus such as Human Herpesvirus 6A – many studies

Human Herpesvirus 6A Is a Risk Factor for Multiple Sclerosis - 2022

Review Front Immunol . 2022 Feb 10;13:840753. doi: 10.3389/fimmu.2022.840753. eCollection 2022.

Wangko Lundström 1, Rasmus Gustafsson 1

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The role for human herpesvirus (HHV)-6A or HHV-6B in multiple sclerosis (MS) pathogenesis has been controversial. Possibly because the damage of the virus infection may occur before onset of clinical symptoms and because it has been difficult to detect active infection and separate serological responses to HHV-6A or 6B. Recent studies report that in MS patients the serological response against HHV-6A is increased whereas it is decreased against HHV-6B. This effect seems to be even more pronounced in MS patients prior to diagnosis and supports previous studies postulating a predomination for HHV-6A in MS disease and suggests that the infection is important at early stages of the disease.

Furthermore, HHV-6A infection interacts with other factors suspected of modulating MS susceptibility and progression such as infection with

  • Epstein-Barr virus (EBV) and

  • Cytomegalovirus (CMV),

  • tobacco smoking,

  • HLA alleles,

  • UV irradiation and

  • vitamin D levels.

The multifactorial nature of MS and pathophysiological role for HHV-6A in inflammation and autoimmunity are discussed.

CONCLUSIONS - from PDF

Together, the studies compiled in this review suggest a role for HHV-6A in MS, particularly early in the disease course and/or at MS onset. This is based on findings of increased anti-HHV-6A antibody levels in people who developed MS later in life, compared to people who do not. HHV-6A infection interacts with other risk factors such as carriage of HLA-DRB115:01, tobacco smoking, low UV irradiation, low vitamin D levels and EBV infection; and with protective factors such carriage of the protective haplotype HLA-A02:01 and CMV infection. This shows the multifactorial nature of MS and suggests that accumulated burden of risk factors increases the risk for acquiring the disease. We propose a pathophysiological role for HHV-6A in induction of MS where an infection of the CNS leads to a primary injury and that this in turn leads to inflammatory events and autoimmunity.

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The role of herpesvirus 6A and 6B in multiple sclerosis and epilepsy - 2020

Scand J Immunol. 2020 Dec; 92(6): e12984 doi: 10.1111/sji.12984

Nicky Dunn, 1 , 2 Nastya Kharlamova, 1 , 2 and Anna Fogdell‐Hahncorresponding author 1 , 2

Human herpesvirus 6A (HHV‐6A) and 6B (HHV‐6B) are two closely related viruses that can infect cells of the central nervous system (CNS). The similarities between these viruses have made it difficult to separate them on serological level. The broad term HHV‐6 remains when referring to studies where the two species were not distinguished, and as such, the seroprevalence is over 90% in the adult population. HHV‐6B has been detected in up to 100% of infants with the primary infection roseola infantum, but less is known about the primary infection of HHV‐6A. Both viruses are neurotropic and have capacity to establish lifelong latency in cells of the central nervous system, with potential to reactivate and cause complications later in life. HHV‐6A infection has been associated with an increased risk of multiple sclerosis (MS), whereas HHV‐6B is indicated to be involved in pathogenesis of epilepsy. These two associations show how neurological diseases might be caused by viral infections, but as suggested here, through completely different molecular mechanisms, in an autoimmune disease, such as MS, by triggering an overreaction of the immune system and in epilepsy by hampering internal cellular functions when the immune system fails to eliminate the virus. Understanding the viral mechanisms of primary infection and reactivation and their spectrum of associated symptoms will aid our ability to diagnose, treat and prevent these severe and chronic diseases. This review explores the role of HHV‐6A and HHV‐6B specifically in MS and epilepsy, the evidence to date and the future directions of this field.

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Herpesviruses are extremely prevelant

Antibiotic, Antifungal, Antiviral Drugs - Herpesviruses

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Human herpesvirus 6 "multiple sclerosis" 27,000 publications as of Feb 2022

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hhv-6 Foundation

https://hhv-6foundation.org/

Autoimmune Disease

Cancer

 Hodgkin’s Lymphoma

 Gliomas

 Cervical Cancer

Chronic Fatigue Syndrome

Cognitive Dysfunction

 Delirium

 Amnesia

 Colitis/Diarrhea

Encephalitis

 Encephalitis / Meningitis Overview

 Encephalitis in the Immunocompromised

 Encephalitis in the Immunocompetent

 Rhomboencephalitis

 Limbic Encephalitis

 Encephalomyelitis

Amnesia

Endocrine Disorders

Epilepsy

 Mesial/Temporal Lobe Epilepsy

 Status Epilepticus

Heart Disease

 Myocarditis

 Left Ventricle Disfunction

 Arteriopathies

 Hemophagocytic Conditions

Hemophagocytic Syndrome/ Histiocytosis

HIV/AIDS Progression

Hypersensitiity (DIHS/DRESS)

 Drug Induced Hypersensitivity Syndrome (DIHS)

 Drug Reaction with Eosinophilia & Systemic Symptoms (DRESS)

 Stevens-Johnson Syndrome (SJS)

Immune Suppression

 Bone Marrow Suppression

Kidney Disease

Liver Disease

Hepatitis

HIV/AIDS Progression

Lung Disease

 Organizing Pneumonia

 Pneumonitis

 Lymphadenopathy/Fever

Multiple Sclerosis

   Evidence linking HHV-6 with multiple sclerosis: an update- 2014 📄 PDF

Rash & Roseola

Seizures

 Febrile Seizures

Status Epilepticus

Transplant Complications

 Bone marrow supression

 Colitis/diarrhea

 Delirium/CNS Dysfunction

 Encephalitis/Amnesia

 GVHD

 Hemophagocytic syndrome

 Hepatitis /Liver failure

 Pneumonitis

 Transplant Reactivation Overview

SIADH

Hypogammaglobulinemia

Optic Neuritis

Microangiopathy

Mononucleosis

Uveitis


Evidence linking HHV-6 with multiple sclerosis (2014) - cited by 111 studies as of Feb 2022

📄 PDF

Google Scholar examples

  • Laboratory and clinical aspects of human herpesvirus 6 infections

  • Infection as an environmental trigger of multiple sclerosis disease exacerbation

  • Update on infections with human herpesviruses 6A, 6B, and 7

  • Presence of HHV-6A in endometrial epithelial cells from women with primary unexplained infertility

  • The role of infections in multiple sclerosis

  • Multiple sclerosis and neuroinflammation: the overview of current and prospective therapies

  • Contributions of neurotropic human herpesviruses herpes simplex virus 1 and human herpesvirus 6 to neurodegenerative disease pathology

  • Viruses and endogenous retroviruses in multiple sclerosis: From correlation to causation


VitaminDWiki - MS and Virus studies

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VitaminDWiki - Multiple Sclerosis 32 percent less likely among those with more than 32 ng of vitamin D – Dec 2019

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VitaminDWiki - human herpesvirus are enveloped


Vitamin D TREATS Health problems: 40 ng ...150 ng

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VitaminDWiki - Epstein-Barr Virus probably causes Long-COVID, CFS, and MS - many studies